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�he Evergreen •• 1 7. <br /> ��TY�F C(�NSTRUC � ION � � <br /> ev��ett � PER�IIlT pER11AIT NO. 0�032 <br /> CITY HALL 259�8745 <br /> EVERETT, V!A 98201 � COfdBINATICN � BUILDING L� MECHANICAL � PLUNIBING <br /> OVJNER q41�A[)OiiE55 ❑LY ZIP PHDNI <br /> I.eona Rogers 11317 East Ibberson Road 98204 337-3E79 <br /> ARCHrtEQ OR pE51GNEfl h1AIL.�0�RE55 <br /> CIiV ZIP PHOI:L <br /> GEtlERALLONTFACiOR MAILa0�PE55 PHONE �IC[NS[r <br /> Swifty Creek Const. P.O. Box 688 Snohomish 96290 568-2432 C27_3NP <br /> MF.CHNNICALCANiPAGTOR MAILADURE55 qTY LP VHONE �ICElbE� <br /> PLUMBINGCONTRACTOR SIAILADORE55 Clt� 21P PHONE LI�ENSi � <br /> CLA55OF WORK <br /> ❑NEW ❑ADDITION CWLTERATION [S�REPAIR ❑JEMOLITION ❑fENCE ❑SIGN CIGARAGE <br /> VALUATION OF WORN _ <br /> S �4��.n� <br /> oEscaioe�roaK <br /> interior and exterior repair and alterations <br /> vaoaoseo use oF om�oir+c <br /> single family residence I Hi=REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�oescaianonoFcnoaearvis�ovioeiowoannncr�rouncoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Tract 55 Ibberson Park ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TfiIS <br /> �s�r ��oc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEF' SPECIFIED <br /> HEREIN OR NOT. THE GRANTING GF A PERMIT DOES NOT <br /> PRESUPd GIVEAUTHORIT�Y '� LATEORCANCLLTHEPRO� <br /> VIS�.ONS OF A OTHER AT TE �CR LOCAL LAW REGULATING <br /> C N:ITRUCTION Q T.HE P�RFO fyl'A CE OF CONSTRUCTION. <br /> �oenooness s�::,;u;:<<,� ron�t���c��A��t� �ni�Z�a6�at onit <br /> 113ll East Ibberson x�_T .�' � i �� � 12/11/79 <br /> PLUMBING MECHANICAL i <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1 wnrea c�ose��roi�er� 2 00 Auv corio u�dils-ri.a �n — <br /> 1 �ATHTUB 2 OO REFF7IG[RATION UNRS-HP.EA <br /> �AVATORV�4YASH BASIN� BC9�ER5-HP EA <br /> SHOWER GAS FIqED AC UNITS—TONN�GE EA <br /> KITCHEN SINK&DISP. OO FORC[D AIR SVSTEIdS—�TL. M EA. <br /> UISHWASHER VJALL HEATcRS—B T U �d <br /> LAUNDRY TRAY UNIT HEATERS—�.T.U. h1 <br /> 1 CLOTHESIVASHER Z OO EVAPONATNECOOLERS <br /> WATER HEATER CLOiHES DRY[RS D � <br /> URVJAL VENTILAt10N FAf� <br /> ORINKING FOUNTAIN �. RANGE HOOD <br /> 3 00 <br /> FLOOR DRFIN Alli HANDI.ING UNIT- C F.M. <br /> VACWM SREAKERS STOVE <br /> R00:=DRAINS-RAINLEADERS METAL FIREPLACE 6 CHIMNEV <br /> SINK(SERVICE-BAR ETC 1 - <br /> _ SUB70TAL TO 0 SUBTOTAL S 6 00 <br /> _ PEPMIT 5 PEHMIT 5 <br /> TOTAL FEE S I.O OO TOTAL FEE S 6 OO <br /> SIDE YAPD SETBACK STPEET 5[T�nCK RG4R VARD SETBACK PLAN CHECK NUAIBER PLAN CHECK FEF <br /> FEE RECBPf NO <br /> USe ZONE LOT AREF VACANT SRE <br /> I:YES t1N0 FEES VALUATION FEE <br /> TYPE.OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> SVIi OF BLDG. NO.OF STOfilES MA%.OCC.LOAD BUILDING S Q[j OO <br /> PLUMBING SO 00 <br /> iIRE ZONE BASEMENT FIRE SPRINKLEFu' <br /> RWUIRED MECHANICAL <br /> r!ves ❑no 6 00 <br /> APPHOVALS BY DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST <br /> PENALTV U.B.C. <br /> 2 �UILDING PLANS � SEC.3W(a) <br /> 3 I-IREHYDRANi `� TOTAI <br /> 60 00 <br /> .: FIR[PRUTE$;7ION SVSfEM PERMIT VALIDIITION <br /> � R'HEN PqpPERLV ypLIDATED pN THIS SPACE�THIS IS YOUR PER�d1T <br /> 5 GRADMG ., } <br /> .._conniNAGE�- � 5 ' Sr Cr (� �jp 5 �55 dU (� ��. n � '^"� <br /> � . ENVIqONM�NTAL IMPl�STATEMENT � !'• U {/ �� � . O <br /> �a. HEAL7F�`DI � ICT �' � <br /> 4�PPLICAf6�(C�. BY • LANSCHECY.EDBY AIP,CR.FORISSUANC6)@Y� ; r�L������ , YOUR RECEfP7'� <br /> c -j ',,:; �:� T►-�ANK YOU <br /> � �-' U <br /> �,, <br /> _� , , � I ! �_, i9 <br /> �zr� <br />